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Jan 12th, 2014

Fay asked The Guru for the following Physiotherapy Advice:

My name is Fay.

Last year in May I did a Pilates class (no warm up before).

The room was cold and the instructor did not warm us up with stretched either & went on to do a quite advanced class.

Since then I have has pain inside my right thigh which I feel when I walk and it kills me if I have to run (I am pain free when I am resting and the pain does not subside if I warm up the area)).

As a result I have not done any cardio for a year and I really want to go back to exercising!

I am only 32!

I has some physio but it was infrequent and not that effective.

Someone suggested I should have an MRI done to see the extent of the damage.

What would you advise me?

Many thanks,

Fay

The Guru Responded:

Hi Fay

Doesn’t sound right at all – an MRI is a place to start. I’m not sure whether you’d MRI your lumbar spine, hip or thigh.

I think the right place to start is getting a proficient diagnosis and then understand why after all this time you’ve still got issues.

All of the above could give pain where you describe it. Get a provisional diagnosis, (help) confirm it on MRI and then get the appropriate treatment.

I don’t think I’d be too worried if the MRI came back as normal, though. This may well be a functional issue i.e. what you do rather than a structural issue.

Move well, feel better rather than move feel the same.

Hope this helps.

The Guru

Six Physio

Fay Responded:

Hi there and thank you for the prompt reply.

I will certainly get this checked and I have a Gp app tomorrow.

Just one question:

What did you mean by ‘Move well, feel better rather than move feel the same’?

Do you mean that I have to move well in order to feel better and it is ok if with movement at the moment I still feel some pain?

Up to now I have avoided any exercises because it will hurt and it does!

Thanks,

Fay

The Guru Responded:

Hi Fay

That’s right. It’s not what you’re doing, but it’s how you’re doing it.

Move well – with more control of what you do to have less pain rather than just moving where you have more pain because you can’t control the movement.

Good luck with your GP

The Guru

Six Physio

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